Individual
SCOTT COATSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 S 48TH ST, SUITE 600, LINCOLN, NE 68506-1275
(402) 483-3333
(402) 483-3297
Mailing address
1600 S 48TH ST, SUITE 600, LINCOLN, NE 68506-1275
(402) 483-3333
(402) 483-3297
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
15953
NE
207RC0000X
Cardiovascular Disease Physician
Primary
15953
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100420540A
—
KS
05
—
100420540B
—
KS
05
—
202089413
—
MO
05
—
47084496100
—
NE
05
—
5914481
—
IA
05
—
6914481
—
IA
05
—
7702830
—
SD
Enumeration date
08/19/2006
Last updated
11/10/2011
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